Comparison of flare-ups incidence between single and two visit endodontic treatment

ABSTRACT

The purpose of this clinical study was to find the incidence of post treatment flare-ups following single and two visit endodontic treatment procedures in teeth with vital pulps. One hundred twenty two cases with diagnosis of irreversible pulpitis were included in the study. The pulp vitality was determined by an electric pulp tester and cold test, The teeth in the single visit group were obturated a the first appointment by using AFT 26 sealer and laterally condensed gutta-percha, and those m the two visit group were medicated with calcium hydroxide then closed with a temporary filling material and obturated about 7 to 14 days later. One week after the obturation appointment, patients were asked about the occurrence of postoperative pain The level of discomfort was rated as no pain, mild pain moderate pain, or severe pain Flare-ups were defined as either patient's report of moderate to severe pain or increasing swelling Fight endodontic. flare-ups [13%] were recorded in the two visit group compared to six [9 8%] flare-ups for the single visit group.. We did not find higher incidences of post-obturation pain and flare-tips following the single visit procedures. Single visit endodontic therapy seems to be a safe and effective alternative to multiple visit treatment in teeth with vital pulps